MHS Rates : Pharmacy
Pharmacy rates are derived from the Managed Care Pricing File (MCPF) supplied by the Defense Supply Center - Philadelphia (DSCP) and are based on TRICARE allowable charges, Average Wholesale Price (AWP) or Prime Vendor Program (PVP) prices listed for the National Drug Codes (NDCs) in the MCPF. Rates are established on a unit measure price basis (e.g., cost per tablet) and are standardized for NDCs within each generic sequence number (GSN). A GSN groups a set of NDCs with the same active ingredient(s), dosage form and strength regardless of vendor brand name or generic designation. Prior to the August 2006 pharmacy table update, rates were computed for each GSN based on the lowest unit measure price for any NDC within that GSN. Currently rates are computed based on the median unit measure cost for all of the AWP listed NDCs in each GSN group. The median unit measure price is applied to all the NDCs in that GSN group. When there are no AWP listed NDCs in a GSN group, the rate for the NDCs in that group is set to the median unit measure price of the PVP listed NDCs in that GSN group. As of January 2010, unit measure prices will reflect the median TRICARE allowable ingredient costs.
Available pharmacy rate tables are listed below. Because of the size of these files, downloading may take a few minutes.
- August 2013 Pharmacy Rate File
Pharmacy Rate File Effective 081913 xlsx 3899.4 KB
- August 2013 Formulary and OTC Unit Rates - Biller's Edition
FY13 UBO OTC Pharmacy Rate Listing Effective 08/19/13 xlsx 15921.9 KB
- February 2013 Pharmacy Rate File
Pharmacy Rate File Effective 021613 xlsx 4143.4 KB
- February 2013 Formulary and OTC Unit Rates - Biller's Edition
FY13 UBO Pharmacy Rate Listing Effective 021613 xlsx 13593.7 KB
- August 2012 Pharmacy Rate File
Pharmacy Rate File Effective 080612 xlsx 4249.9 KB
- August 2012 OTC Unit Rates
FY12 UBO OTC Pharmacy Rate Listing Effective 080612 xlsx 2735.1 KB
- February 2012 Pharmacy Rate File (posted 02-20-2012)
Pharmacy Rate File Effective 02292012 xlsx 6367.3 KB
- February 2012 OTC Unit Rates (posted 02-20-2012)
FY12 UBO OTC Pharmacy Rate Listing Effective 02292012 xlsx 2805.6 KB
Historical pharmacy rate files can be found on the Archives page.
Estimating Pharmaceuticals Costs
The UBO has developed pricing estimators to assist pay-patients and other government organizations with estimating the costs of pharmaceuticals provided by DoD. The Pharmaceutical Price Estimators are available through the links below or from the UBO Helpdesk. Running the pharmacy estimator requires Microsoft Access version 2003 or newer. Links to recent versions of the estimators are provided below.
Pharmaceutical Price Estimator - Effective 8-19-13 - Access 2003 zip 11716.7 KB
Pharmaceutical Price Estimator - Effective 8-19-13 - Access 2007 zip 14206.8 KB
DoD Pharmaceutical Price Estimator Effective 02-16-2013 Access 2003 zip 9254.6 KB
DoD Pharmaceutical Price Estimator Effective 02-16-2013 Access 2007 zip 13579.4 KB
DoD Pharmaceutical Price Estimator - Effective 8-6-2012 - Access 2003 zip 9335.0 KB
DoD Pharmaceutical Price Estimator - Effective 8-6-2012 - Access 2007 zip 14379.5 KB
DoD Pharmaceutical Price Estimator Effective 02-29-2012 Access 2003 zip 12749.4 KB
DoD Pharmaceutical Price Estimator Effective 02-29-2012 Access 2007 zip 13641.6 KB
Historical Pharmacy Price Estimators are available in the Archives page.
For questions or comments, please e-mail UBO.Helpdesk@altarum.org, or leave a message for the Helpdesk staff at (571) 733-5935. Phone messages will be returned within one business day.